Carnegie Mellon University

ASSUMPTION OF RISK & GENERAL RELEASE

I want to participate in the Staff Faculty Fitness Program Class ("Class") held at Whitfield Hall on weekdays at various times. I understand that there are risks associated with this Class, that it is physically strenuous, and that it may cause serious physical injury, disability and death. I voluntarily assume all the risks of participating in this Class and release Carnegie Mellon University ("CMU") and anyone acting on behalf of CMU, including but not limited to, the Class instructor, ("Releasees") from any and all liability arising from or connected to my participation in the Class. In consideration of the benefits of the Class, I, on behalf of myself, and those acting on my behalf, irrevocably and unconditionally release, waive, and promise not to sue the Releasees, from and for any and all losses, injuries, damages, claims, demands, actions and causes of action arising from or connected to my participation in the Class. The laws of Pennsylvania shall apply to this release. If any of the provisions are declared illegal, unenforceable, or ineffective they shall be deemed severable and all other provisions shall remain valid and binding. I have read this document, I understand its contents, and I am signing it voluntarily, intending to be legally bound. I am an adult (18 years of age or older).

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Optional Information
Emergency Contact Person and numberEmail address for the group email list.